Personal Information

Wedding Officiant Training Registration
Personal Information
Name*

First NameMiddle NameLast Name
First Name*
Last Name*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Birth Date*

MonthDayYear
Birth Date
E-mail*
Phone Number*

Area CodePhone Number
I have read through the entire website and understand what is required of me*

YesNo
I agree to the Beliefs Statement*

YesNo
I agree to the Values Statement*

YesNo
I agree to the Marriage and Family Statement *

YesNo
I agree to the Personal Code of Conduct*

YesNo
Changed Format
Required date format

YearMonthDay
Required Date
Reminder Date

DayMonthYear
Reminder Date
Post Date

DayMonthYear
Post Training Date
Cancellation Email
example@example.com
Fee and Payment Information
The total fee for the two-day course is $725.00. The course registration fee is $700.00 and the administration fee is $25.00.

All major credit cards accepted.
Credit Card Payment Details

Information protected by GlobalSign*

Training$725.00

Fee and Payment Information